| NPI | 1831692987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIALFONSO Admin 908-730-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-06-16 |